To Örebro University

Evidence-based guidelines, such as those provided by the International WorkingGroup on the Diabetic Foot (IWGDF), are essential to support high-quality clinicalmanagement and outcomes of diabetic foot ulceration. However, variations in clinicaloutcomes across the UK and the world indicate that guidelines may not be fullyimplemented in clinical practice. This paper discusses practical considerations whenapplying the new IWGDF guidelines on offloading foot ulcers. The authors anticipatethat this paper will support clinicians, managers and policymakers to benchmarktheir current approach to offloading treatments against these new recommendations.Implementing these recommendations into clinical practice, using the flow chartprovided to guide every patient assessment, should help ensure that every patient isoffered the most effective evidence-based offloading treatment. This, in turn, shouldhelp reduce variations in diabetic foot ulcer management and outcomes.